Findings: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.
Impression:
Ruptured acute appendicitis with associated appendicolith.

MPX2500_synpic23572: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.

MPX2500_synpic23572: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.

Findings: The appendix is strikingly enlarged. An oval appendicolith is seen obstructing the proximal aspect of the appendix. High density debris is seen in the distal appendix as well. Small bubbles of air are seen anterior to the lumen of the appendix may be intramural or intraperitoneal. Minimal fat stranding is seen in the surrounding fat. The walls of the cecum and terminal ileum are significantly thickened.
Impression:
Ruptured acute appendicitis with associated appendicolith.